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无张力阴道吊带术与阴道悬吊术的五年随访比较

Five year follow-up comparing tension-free vaginal tape and colposuspension.

作者信息

McCracken Geoff R, Henderson Nicola A, Ashe Robin G

机构信息

15014 Cardinal Carter South, St Michael's Hospital, 30 Bond Street, Toronto Ontario, Canada M5B1W8.

出版信息

Ulster Med J. 2007 Sep;76(3):146-9.

Abstract

Burch colposuspension has been the procedure of choice for stress urinary incontinence, more recently the tension-free vaginal tape (TVT) has been used. A retrospective study on all TVT's and colposupensions was performed. The present clinical condition was assessed using the Bristol Female Lower Urinary Tract Symptoms and Short-Form 12 questionnaires. The median operating time was 50-59 minutes for TVT and 70-79 minutes for colposupension. The median number of day's hospitalization was 3 and 10 respectively. The overall success rate was 88.5% and 92% respectively. No significant difference in subjective outcome was noted at more than 5 years after surgery between the two procedures for either the BFLUTS or SF-12.

摘要

Burch阴道悬吊术一直是治疗压力性尿失禁的首选术式,最近也开始使用无张力阴道吊带术(TVT)。我们对所有接受TVT和阴道悬吊术的患者进行了一项回顾性研究。使用布里斯托尔女性下尿路症状问卷和简明健康调查问卷12对当前临床状况进行评估。TVT的中位手术时间为50 - 59分钟,阴道悬吊术为70 - 79分钟。中位住院天数分别为3天和10天。总体成功率分别为88.5%和92%。两种手术在术后5年以上,无论是布里斯托尔女性下尿路症状问卷还是简明健康调查问卷12的主观结果方面均未发现显著差异。

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Tension-free vaginal tape procedures in women with stress urinary incontinence with and without co-existing genital prolapse.
Curr Opin Obstet Gynecol. 2004 Oct;16(5):399-404. doi: 10.1097/00001703-200410000-00008.
4
Mixed incontinence.混合性尿失禁
Urology. 2004 Mar;63(3 Suppl 1):51-7. doi: 10.1016/j.urology.2004.01.015.

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